TEST BANKS For Family Practice Guidelines
6th Edition by Jill and Cash
Chapters 1 - 23
,
,Chapterj1.jHealthjMaintenancejGuidelinesjM
ultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j
1.jThejnursejisjpreparingjtojteachjajpatientjofjthejAsianjculturejtojperformjpostoperativejdressin
gjchangesjatjhomejafterjdischarge.jWhichjstatementjmadejbyjthejnursejindicatesjculturaljcompetence?
a. Telljmejhowjyoujfeeljaboutjyourjsurgery.
b. Asianjpeoplejarejsmart,jsojthisjshouldjbejeasyjforjyoujtojunderstand.
c. Americanjsurgeonsjarejhighlyjqualified;jImjsurejyoujwilljhealjquickly.
d. Willjyoujtelljmejaboutjanyjtraditionaljhealingjpracticesjthatjyoujwouldjlikejtojuse?
j
2.jAnjunconsciousjvictimjofjajhousejfirejisjbroughtjtojthejemergencyjdepartmentjbyjthejparame
dics.jTiedjtojthejrightjwristjisjanjemblemjthatjappearsjbejajreligiousjtalisman.jWhichjactionjshouldjthej
nursejtake?
a. Tapejitjinjplace.
b. Dojnothingjwithjit.
c. Removejitjandjlockjitjupjforjsafekeeping.
d. Placejitjinjajclothingjbagjwithjthejrestjofjthejpatientsjbelongings.
j 3.jAj43-year-
oldjpatientjofjArabjdescentjisjadmittedjtojthejhospital.jTojcomplyjwithjthejstatejlawsjofjthejorganizati
on,jthejnursejoffersjthejpatientjajPapanicolaoujsmear,jwhichjshejrefuses.jWhichjactionjshouldjthejnurs
ejtakejfirst?
a. Notifyjthejphysician.
b. Reportjthejrefusaljtojthejsupervisor.
c. Explainjthejrationalejforjandjbenefitsjofjthejtest.
d. Telljherjitjisjstatejlawjandjthatjshejdoesjnotjhavejajchoice.
j
4.jAjpatientjwhojisjajJehovahsjWitnessjhasjseverejgastrointestinaljbleedingjandjajdangerouslyjlo
wjhemoglobinjlevel.jThejpatientjisjfullyjalertjandjcompetentjandjrefusesjtojacceptjthejbloodjtransfusionjo
rderedjbyjthejphysician.jWhichjactionjbyjthejnursejisjmostjappropriate?
a. Obtainjajcourtjorderjtojgivejthejblood.
b. Administerjthejbloodjwhilejthejpatientjisjsleeping.
c. Havejthejpatientsjspousejsignjthejconsentjtojhavejthejbloodjadministered.
, d. Ensurejthejpatientjunderstandsjpossiblejconsequencesjandjthenjrespectjthejpatientsjwishes.
j
5.jAjpatientjofjMexicanjdescentjseesjajcuranderojforjasthma;jthejcuranderojhasjprescribedjajspe
cialjteajtojbejtakenjfourjtimesjajdayjtojopenjthejairways.jHowjshouldjthejnursejrespondjtojthisjsituation?
a. Encouragejthejpatientjtojcontinuejdrinkingjthejtea.
b. Encouragejthejpatientjtojdrinkjonlyjonejcupjofjthejteajeachjday.
c. Askjthejpatientjtojbringjinjthejteajpackagejandjhavejthejpharmacistjcheckjthejingredients.
d. Advisejthejpatientjtojstopjdrinkingjthejteajbecausejofjpotentialjinteractionsjwithjotherjmedic
ations.
j
6.jThejnursejisjcaringjforjajyoungjadultjmalejpatientjwhojrefusesjpersonaljcarejfromjajfemalej
nursingjassistant.jWhichjapproachjbyjthejnursejisjbest?
a. Encouragejthejpatientsjfamilyjtojtalkjwithjhimjaboutjhisjcare.
b. Havejajregisteredjnursej(RN)jhelpjwithjhisjpersonaljcare.
c. Assignjajmalejassistantjtojhelpjwithjhisjpersonaljcarejifjonejisjavailable.
d. Explainjtojhimjthatjmalesjandjfemalesjtakejcarejofjbothjgendersjinjthisjhospital.
j 7.jThejnursejisjprovidingjmedicationjinstructionsjtojaj45-year-
oldjpatientjwhojdoesjnotjmaintainjeyejcontact.jWhatjshouldjthisjpatientsjbehaviorjindicatejtojthejnur
se?
a. Thejpatientjisjnotjinterested.
b. Thejnursejthreatensjthejpatientsjego.
c. Thejnursejisjinjajhierarchicaljposition.
d. Thejpatientjdoesjnotjintendjtojfollowjthejinstructions.
8.jThejnursejisjcaringjforjajpatientjofjSpanishjdescentjwhojisjexperiencingjpain,jbutjdoesjnotjspeakjEn
jjjjjjjjj
glish.jAnjinterpreterjisjlocatedjtojhelpjwithjthejassessment.jWhatjshouldjthejnursejdojtojfacilitatejcomm
unicationjwithjthisjpatient?
a. Usejhandjsignalsjtojdeterminejthejcausejofjthejpain.
b. Ensurejthejinterpreterjisjnotjleftjalonejwithjthejpatient.
c. Maintainjeyejcontactjwithjthejpatientjandjthejinterpreter.
d. Usejonlyjphysicaljexaminationjdata;jdojnotjrelyjonjverbaljcommunication.
j 9.jAjnewjmotherjofjGuatemalanjdescentjbringsjherj10-day-oldjinfantjtojajclinicjforjajwell-
babyjcheckup.jTojpromotejhealing,jshejhasjajcoinjtapedjtojthejinfantsjumbilicus.jWhatjshouldjthejnursejd
j
ojaboutjthisjsituation?
a. Teachjthejmotherjhowjtojcleanjthejcoinjdailyjandjreapplyjit.
b. Explainjtojthejmotherjthatjthejcoinjisjnotjnecessaryjforjhealing.
6th Edition by Jill and Cash
Chapters 1 - 23
,
,Chapterj1.jHealthjMaintenancejGuidelinesjM
ultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j
1.jThejnursejisjpreparingjtojteachjajpatientjofjthejAsianjculturejtojperformjpostoperativejdressin
gjchangesjatjhomejafterjdischarge.jWhichjstatementjmadejbyjthejnursejindicatesjculturaljcompetence?
a. Telljmejhowjyoujfeeljaboutjyourjsurgery.
b. Asianjpeoplejarejsmart,jsojthisjshouldjbejeasyjforjyoujtojunderstand.
c. Americanjsurgeonsjarejhighlyjqualified;jImjsurejyoujwilljhealjquickly.
d. Willjyoujtelljmejaboutjanyjtraditionaljhealingjpracticesjthatjyoujwouldjlikejtojuse?
j
2.jAnjunconsciousjvictimjofjajhousejfirejisjbroughtjtojthejemergencyjdepartmentjbyjthejparame
dics.jTiedjtojthejrightjwristjisjanjemblemjthatjappearsjbejajreligiousjtalisman.jWhichjactionjshouldjthej
nursejtake?
a. Tapejitjinjplace.
b. Dojnothingjwithjit.
c. Removejitjandjlockjitjupjforjsafekeeping.
d. Placejitjinjajclothingjbagjwithjthejrestjofjthejpatientsjbelongings.
j 3.jAj43-year-
oldjpatientjofjArabjdescentjisjadmittedjtojthejhospital.jTojcomplyjwithjthejstatejlawsjofjthejorganizati
on,jthejnursejoffersjthejpatientjajPapanicolaoujsmear,jwhichjshejrefuses.jWhichjactionjshouldjthejnurs
ejtakejfirst?
a. Notifyjthejphysician.
b. Reportjthejrefusaljtojthejsupervisor.
c. Explainjthejrationalejforjandjbenefitsjofjthejtest.
d. Telljherjitjisjstatejlawjandjthatjshejdoesjnotjhavejajchoice.
j
4.jAjpatientjwhojisjajJehovahsjWitnessjhasjseverejgastrointestinaljbleedingjandjajdangerouslyjlo
wjhemoglobinjlevel.jThejpatientjisjfullyjalertjandjcompetentjandjrefusesjtojacceptjthejbloodjtransfusionjo
rderedjbyjthejphysician.jWhichjactionjbyjthejnursejisjmostjappropriate?
a. Obtainjajcourtjorderjtojgivejthejblood.
b. Administerjthejbloodjwhilejthejpatientjisjsleeping.
c. Havejthejpatientsjspousejsignjthejconsentjtojhavejthejbloodjadministered.
, d. Ensurejthejpatientjunderstandsjpossiblejconsequencesjandjthenjrespectjthejpatientsjwishes.
j
5.jAjpatientjofjMexicanjdescentjseesjajcuranderojforjasthma;jthejcuranderojhasjprescribedjajspe
cialjteajtojbejtakenjfourjtimesjajdayjtojopenjthejairways.jHowjshouldjthejnursejrespondjtojthisjsituation?
a. Encouragejthejpatientjtojcontinuejdrinkingjthejtea.
b. Encouragejthejpatientjtojdrinkjonlyjonejcupjofjthejteajeachjday.
c. Askjthejpatientjtojbringjinjthejteajpackagejandjhavejthejpharmacistjcheckjthejingredients.
d. Advisejthejpatientjtojstopjdrinkingjthejteajbecausejofjpotentialjinteractionsjwithjotherjmedic
ations.
j
6.jThejnursejisjcaringjforjajyoungjadultjmalejpatientjwhojrefusesjpersonaljcarejfromjajfemalej
nursingjassistant.jWhichjapproachjbyjthejnursejisjbest?
a. Encouragejthejpatientsjfamilyjtojtalkjwithjhimjaboutjhisjcare.
b. Havejajregisteredjnursej(RN)jhelpjwithjhisjpersonaljcare.
c. Assignjajmalejassistantjtojhelpjwithjhisjpersonaljcarejifjonejisjavailable.
d. Explainjtojhimjthatjmalesjandjfemalesjtakejcarejofjbothjgendersjinjthisjhospital.
j 7.jThejnursejisjprovidingjmedicationjinstructionsjtojaj45-year-
oldjpatientjwhojdoesjnotjmaintainjeyejcontact.jWhatjshouldjthisjpatientsjbehaviorjindicatejtojthejnur
se?
a. Thejpatientjisjnotjinterested.
b. Thejnursejthreatensjthejpatientsjego.
c. Thejnursejisjinjajhierarchicaljposition.
d. Thejpatientjdoesjnotjintendjtojfollowjthejinstructions.
8.jThejnursejisjcaringjforjajpatientjofjSpanishjdescentjwhojisjexperiencingjpain,jbutjdoesjnotjspeakjEn
jjjjjjjjj
glish.jAnjinterpreterjisjlocatedjtojhelpjwithjthejassessment.jWhatjshouldjthejnursejdojtojfacilitatejcomm
unicationjwithjthisjpatient?
a. Usejhandjsignalsjtojdeterminejthejcausejofjthejpain.
b. Ensurejthejinterpreterjisjnotjleftjalonejwithjthejpatient.
c. Maintainjeyejcontactjwithjthejpatientjandjthejinterpreter.
d. Usejonlyjphysicaljexaminationjdata;jdojnotjrelyjonjverbaljcommunication.
j 9.jAjnewjmotherjofjGuatemalanjdescentjbringsjherj10-day-oldjinfantjtojajclinicjforjajwell-
babyjcheckup.jTojpromotejhealing,jshejhasjajcoinjtapedjtojthejinfantsjumbilicus.jWhatjshouldjthejnursejd
j
ojaboutjthisjsituation?
a. Teachjthejmotherjhowjtojcleanjthejcoinjdailyjandjreapplyjit.
b. Explainjtojthejmotherjthatjthejcoinjisjnotjnecessaryjforjhealing.
